- Molina Healthcare (Columbus, OH)
- …be supporting our Ohio state plan. We are looking for candidates with a RN licensure and previous care management experience. The candidate must have ... behavioral health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
- Sharecare (Columbus, OH)
- …**Monday July 21st, 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- Sharecare (Columbus, OH)
- …support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Clinical Registered Nurse coordinates with the Primary ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...management program intervention guidelines. A Clinical Registered Nurse is supervised by an Operations Manager … more
- CVS Health (Columbus, OH)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- CVS Health (Columbus, OH)
- … - Perform medical necessity reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting - A Registered Nurse that holds an active, unrestricted… more
- Humana (Columbus, OH)
- …care and wellbeing. The RN , Field Care Manager Nurse 2 works...+ **Must reside in the state of Ohio.** + Registered Nurse ( RN ) in the ... first** Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager 2...next round of interviews. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Highmark Health (Columbus, OH)
- …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Centene Corporation (Columbus, OH)
- …Bachelor's degree in Nursing and 2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State ... workplace flexibility. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide… more
- Humana (Columbus, OH)
- …programs and more! Apply now to begin your future with a Fortune 500 Company! The Field Care Manager Nurse 2 ( Care Manager Plus, Physical Health) ... Humana Healthy Horizons in Ohio is seeking a Field Care Manager to assess and evaluate member's...your skills to make an impact** **Required Qualifications** + Registered Nurse with 2 years of experience… more
- Public Consulting Group (Columbus, OH)
- …learn more, visit www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager ... Proven working experience in case management, including as a nurse , medical, mental health care manager...plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions**… more
- Public Consulting Group (Columbus, OH)
- …independently and on a team. + Proven working experience in case management, including as a nurse , medical, mental health care manager or a related job + ... of case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting **The… more
- BrightSpring Health Services (Columbus, OH)
- …assigned Qualifications + Must have related nursing management/supervisory experience + Licensed Registered Nurse required + Valid driver's license from state of ... Home Health, Hospice, Residential and Private Duty. If your passion is outstanding patient care coupled with a desire to help others live their best life, then come… more
- Molina Healthcare (Columbus, OH)
- …surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions is responsible for developing, ... implementing, and monitoring the success of quality improvement interventions. The Manager works to coordinate resources and training within the health plan and… more
- AmeriHealth Caritas (Dublin, OH)
- …administrative services. Discover more about us at www.amerihealthcaritas.com . **Responsibilities:** The Care Manager II ( RN /LSW) provides support to ... achieving their optimal level of health through self-management. The Care Manager II ( RN /LSW) is...from 8a to 5p EST. + Current and unrestricted Registered Nurse licensure in OH or licensed… more
- Humana (Columbus, OH)
- …are currently living in Puerto Rico. + Current valid and unrestricted Registered Nurse license + Certified Case Manager (CCM) + 5 years of healthcare ... on cases with support needs. Ensures regulatory compliance by aligning care management policies, procedures, and processes to maintain TRICARE contractual standards,… more
- AmeriHealth Caritas (Dublin, OH)
- **Role Overview** The Care Manager II is responsible for managing and coordinating care , services, and social determinants of health for Members with acute, ... issues, gaps in care and barriers to care . The Care Manager II...Remote **Responsibilities** + Support Members during transitions of care through assessment, coordination of care , education… more
- AmeriHealth Caritas (Dublin, OH)
- **Role Overview:** The Care Manager is responsible for managing and coordinating care , services, and social determinants of health for Members with acute, ... issues, gaps in care and barriers to care . The Care Manager develops...Valid driver's license and car insurance. + Requirements for RN : Current, unrestricted Ohio RN license in… more
- Intermountain Health (Columbus, OH)
- **Job Description:** The Medical Group Nurse Manager reports to a Market or Service Line Nurse Director and participates with the Service Line or Market ... execution of strategy and collaboration within operations and clinical care . The manager builds and supports provider...+ Shift Details: Full time (40 budgeted hours). Fully Remote / Work from home. Day shift/ M-F have availability… more
- Cardinal Health (Columbus, OH)
- …Rheumatology (Rheum) Customer Success contributes to Cardinal Health_** The Clinical Manager for our Rheumatology (Rheum) Customer Success team is responsible for ... the EVP of Provider Solutions. In this role, the Manager will be held primarily accountable for the overall...that will lead our Rheum program. **Location** - Fully remote with the expectation of 15-20% travel. Travel does… more
- Sedgwick (Dublin, OH)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign on Bonus Eligible **This Field Case Manager will cover our ... on the health and lives of others, and a remote work environment that allows face to face interaction...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more